<div id="address"> 
		

					 <table width="800" border="0" cellspacing="10">
					  <tr>
					    <td width="200px" align="right">Voornaam  :</td>
					    <td><input type="text" name="firstname" id="firstname"  value="{$user_info.firstname}"/>
					      <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Achternaam  :</td>
					    <td><input type="text" name="lastname" id="lastname" value="{$user_info.lastname}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					 
					  <tr>
					    <td width="200px" align="right">Straat / Huisnr  :</td>
					    <td ><input type="text" name="address1"  id="address1" size="50" value="{$user_info.address1}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Adres 2:(optional) </td>
					    <td><input type="text" name="address2" id="address2" value="{$user_info.address2}"/></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Postcode  :</td>
					    <td><input type="text" name="zipcode" id="zipcode" value="{$user_info.zipcode}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					   <tr>
					    <td width="200px" align="right">Plaats  :</td>
					    <td><input type="text" name="city" id="city" value="{$user_info.city}"/>
					    <span class="STYLE3">*</span></td>
					  </tr>
					  <tr>
                <td  align="right">Land:</td>
                <td>
                

             
				<SELECT id="country" name="client_countryship" length="15" > 
<option {$Land} value="">Kies een land</option>
<option {$NL} value="NL">Nederland</option> 
							 <option {$BE} value="BE">België</option> 
							  <option {$AL} value="AL">Albanië</option>
							  <option {$DZ} value="DZ">Algerije</option>
							  <option {$AD} value="AD">Andorra</option>
							  <option {$AO} value="AO">Angola</option>
							  <option {$AI} value="AI">Anguilla</option>
							  <option {$AG} value="AG">Antigua en Barbuda</option>
							  <option {$AR} value="AR">Argentinië</option>
							  <option {$AM} value="AM">Armenië</option>
							  <option {$AW} value="AW">Aruba</option>
							  <option {$AU} value="AU">Australië</option>
							  <option {$AZ} value="AZ">Azerbeidzjan</option>
							  <option {$BS} value="BS">Bahamas</option>
							  <option {$BH} value="BH">Bahrein</option>
							  <option {$BB} value="BB">Barbados</option>
							  <option {$BZ} value="BZ">Belize</option>
							  <option {$BJ} value="BJ">Benin</option>
							  <option {$BM} value="BM">Bermuda</option>
							  <option {$BT} value="BT">Bhutan</option>
							  <option {$BO} value="BO">Bolivia</option>
							  <option {$BA} value="BA">Bosnië en Herzegovina</option>
							  <option {$BW} value="BW">Botswana</option>
							  <option {$BR} value="BR">Brazilië</option>
							  <option {$VG} value="VG">Britse Maagdeneilanden</option>
							  <option {$BN} value="BN">Brunei</option>
							  <option {$BG} value="BG">Bulgarije</option>
							  <option {$BF} value="BF">Burkina Faso</option>
							  <option {$BI} value="BI">Burundi</option>
							  <option {$KH} value="KH">Cambodja</option>
							  <option {$CA} value="CA">Canada</option>
							  <option {$CL} value="CL">Chili</option>
							  <option {$C2} value="C2">China</option>
							  <option {$CO} value="CO">Colombia</option>
							  <option {$KM} value="KM">Comoren</option>
							  <option {$CK} value="CK">Cookeilanden</option>
							  <option {$CR} value="CR">Costa Rica</option>
							  <option {$CY} value="CY">Cyprus</option>
							  <option {$CD} value="CD">Democratische Republiek Congo</option>
							  <option {$DK} value="DK">Denemarken</option>
							  <option {$DJ} value="DJ">Djibouti</option>
							  <option {$DM} value="DM">Dominica</option>
							  <option {$DO} value="DO">Dominicaanse Republiek</option>
							  <option {$DE} value="DE">Duitsland</option>
							  <option {$EC} value="EC">Ecuador</option>
							  <option {$SV} value="SV">El Salvador</option>
							  <option {$ER} value="ER">Eritrea</option>
							  <option {$EE} value="EE">Estland</option>
							  <option {$ET} value="ET">Ethiopië</option>
							  <option {$FO} value="FO">Faeröer</option>
							  <option {$FK} value="FK">Falklandeilanden</option>
							  <option {$FJ} value="FJ">Fiji</option>
							  <option {$PH} value="PH">Filippijnen</option>
							  <option {$FI} value="FI">Finland</option>
							  <option {$FR} value="FR">Frankrijk</option>
							  <option {$GF} value="GF">Frans-Guyana</option>
							  <option {$PF} value="PF">Frans-Polynesië</option>
							  <option {$GA} value="GA">Gabon</option>
							  <option {$GM} value="GM">Gambia</option>
							  <option {$GI} value="GI">Gibraltar</option>
							  <option {$GD} value="GD">Grenada</option>
							  <option {$GR} value="GR">Griekenland</option>
							  <option {$GL} value="GL">Groenland</option>
							  <option {$GP} value="GP">Guadeloupe</option>
							  <option {$GT} value="GT">Guatemala</option>
							  <option {$GN} value="GN">Guinee</option>
							  <option {$GW} value="GW">Guinee-Bissau</option>
							  <option {$GY} value="GY">Guyana</option>
							  <option {$HN} value="HN">Honduras</option>
							  <option {$HU} value="HU">Hongarije</option>
							  <option {$HK} value="HK">Hongkong</option>
							  <option {$IE} value="IE">Ierland</option>
							  <option {$IS} value="IS">IJsland</option>
							  <option {$IN} value="IN">India</option>
							  <option {$ID} value="ID">Indonesië</option>
							  <option {$IL} value="IL">Israël</option>
							  <option {$IT} value="IT">Italië</option>
							  <option {$JM} value="JM">Jamaica</option>
							  <option {$JP} value="JP">Japan</option>
							  <option {$YE} value="YE">Jemen</option>
							  <option {$JO} value="JO">Jordanië</option>
							  <option {$KY} value="KY">Kaaimaneilanden</option>
							  <option {$CV} value="CV">Kaapverdische Eilanden</option>
							  <option {$QA} value="QA">Katar</option>
							  <option {$KZ} value="KZ">Kazakstan</option>
							  <option {$KE} value="KE">Kenia</option>
							  <option {$KG} value="KG">Kirgizië</option>
							  <option {$KI} value="KI">Kiribati</option>
							  <option {$KW} value="KW">Koeweit</option>
							  <option {$HR} value="HR">Kroatië</option>
							  <option {$LA} value="LA">Laos</option>
							  <option {$LS} value="LS">Lesotho</option>
							  <option {$LV} value="LV">Letland</option>
							  <option {$LI} value="LI">Liechtenstein</option>
							  <option {$LT} value="LT">Litouwen</option>
							  <option {$LU} value="LU">Luxemburg</option>
							  <option {$MG} value="MG">Madagaskar</option>
							  <option {$MW} value="MW">Malawi</option>
							  <option {$MV} value="MV">Malediven</option>
							  <option {$MY} value="MY">Maleisië</option>
							  <option {$ML} value="ML">Mali</option>
							  <option {$MT} value="MT">Malta</option>
							  <option {$MA} value="MA">Marokko</option>
							  <option {$MH} value="MH">Marshalleilanden</option>
							  <option {$MQ} value="MQ">Martinique</option>
							  <option {$MR} value="MR">Mauritanië</option>
							  <option {$MU} value="MU">Mauritius</option>
							  <option {$YT} value="YT">Mayotte</option>
							  <option {$MX} value="MX">Mexico</option>
							  <option {$FM} value="FM">Micronesia</option>
							  <option {$MN} value="MN">Mongolië</option>
							  <option {$MS} value="MS">Montserrat</option>
							  <option {$MZ} value="MZ">Mozambique</option>
							  <option {$NA} value="NA">Namibië</option>
							  <option {$NR} value="NR">Nauru</option>
							  <option {$AN} value="AN">Nederlandse Antillen</option>
							  <option {$NP} value="NP">Nepal</option>
							  <option {$NI} value="NI">Nicaragua</option>
							  <option {$NC} value="NC">Nieuw-Caledonië</option>
							  <option {$NZ} value="NZ">Nieuw-Zeeland</option>
							  <option {$NE} value="NE">Niger</option>
							  <option {$NU} value="NU">Niue</option>
							  <option {$NO} value="NO">Noorwegen</option>
							  <option {$NF} value="NF">Norfolkeiland</option>
							  <option {$UG} value="UG">Oeganda</option>
							  <option {$UA} value="UA">Oekraïne</option>
							  <option {$OM} value="OM">Oman</option>
							  <option {$AT} value="AT">Oostenrijk</option>
							  <option {$PW} value="PW">Palau</option>
							  <option {$PA} value="PA">Panama</option>
							  <option {$PG} value="PG">Papoea-Nieuw-Guinea</option>
							  <option {$PE} value="PE">Peru</option>
							  <option {$PN} value="PN">Pitcairneilanden</option>
							  <option {$PL} value="PL">Polen</option>
							  <option {$PT} value="PT">Portugal</option>
							  <option {$CG} value="CG">Republic of the Congo</option>
							  <option {$RE} value="RE">Réunion</option>
							  <option {$RO} value="RO">Roemenië</option>
							  <option {$RU} value="RU">Rusland</option>
							  <option {$RW} value="RW">Rwanda</option>
							  <option {$KN} value="KN">Saint Kitts en Nevis Anguilla</option>
							  <option {$LC} value="LC">Saint Lucia</option>
							  <option {$VC} value="VC">Saint Vincent en Grenadines</option>
							  <option {$PM} value="PM">Saint-Pierre en Miquelon</option>
							  <option {$SB} value="SB">Salomonseilanden</option>
							  <option {$WS} value="WS">Samoa</option>
							  <option {$SM} value="SM">San Marino</option>
							  <option {$ST} value="ST">Sao Tomé en Principe</option>
							  <option {$SA} value="SA">Saoedi-Arabië</option>
							  <option {$SN} value="SN">Senegal</option>
							  <option {$SC} value="SC">Seychellen</option>
							  <option {$SL} value="SL">Sierra Leone</option>
							  <option {$SG} value="SG">Singapore</option>
							  <option {$SH} value="SH">Sint-Helena</option>
							  <option {$SI} value="SI">Slovenië</option>
							  <option {$SK} value="SK">Slowakije</option>
							  <option {$SO} value="SO">Somalië</option>
							  <option {$ES} value="ES">Spanje</option>
							  <option {$LK} value="LK">Sri Lanka</option>
							  <option {$SR} value="SR">Suriname</option>
							  <option {$SJ} value="SJ">Svalbard en Jan Mayen</option>
							  <option {$SZ} value="SZ">Swaziland</option>
							  <option {$TJ} value="TJ">Tadzjikistan</option>
							  <option {$TW} value="TW">Taiwan</option>
							  <option {$TZ} value="TZ">Tanzania</option>
							  <option {$TH} value="TH">Thailand</option>
							  <option {$TG} value="TG">Togo</option>
							  <option {$TO} value="TO">Tonga</option>
							  <option {$TT} value="TT">Trinidad en Tobago</option>
							  <option {$TD} value="TD">Tsjaad</option>
							  <option {$CZ} value="CZ">Tsjechië</option>
							  <option {$TN} value="TN">Tunesië</option>
							  <option {$TR} value="TR">Turkije</option>
							  <option {$TM} value="TM">Turkmenistan</option>
							  <option {$TC} value="TC">Turks- en Caicoseilanden</option>
							  <option {$TV} value="TV">Tuvalu</option>
							  <option {$UY} value="UY">Uruguay</option>
							  <option {$VU} value="VU">Vanuatu</option>
							  <option {$VA} value="VA">Vaticaanstad</option>
							  <option {$VE} value="VE">Venezuela</option>
							  <option {$GB} value="GB">Verenigd Koninkrijk</option>
							  <option {$AE} value="AE">Verenigde Arabische Emiraten</option>
							  <option {$US} value="US">Verenigde Staten</option>
							  <option {$VN} value="VN">Vietnam</option>
							  <option {$WF} value="WF">Wallis en Futuna</option>
							  <option {$ZM} value="ZM">Zambia</option>
							  <option {$ZA} value="ZA">Zuid-Afrika</option>
							  <option {$KR} value="KR">Zuid-Korea</option>
							  <option {$SE} value="SE">Zweden</option>
							  <option {$CH} value="CH">Zwitserland</option>
							  </SELECT>   

				</td>
            </tr>
					   <tr>
					    <td width="200px" align="right">Telefoon  : </td>
					    <td><INPUT size=5 type="text" name="night_phone_a" id="night_phone_a" value="{$user_info.night_phone_a}">
                             <INPUT size=6 type="text" name="night_phone_b" id="night_phone_b" value="{$user_info.night_phone_b}"> 
                             <INPUT size=6 type="text" name="night_phone_c" id="night_phone_c" value="{$user_info.night_phone_c}">
					    
					    
					    </td>
					  </tr>
					  <tr>
					    <td width="200px" align="right">E-mail adres  :</td>
					    <td><input type="text" name="email" id="email" value="{$user_info.email}"/><span class="STYLE3">*</span></td>
					  </tr>
					  
					  
					</table>
						<div class="ab" id="btn">
					 
					 
					 
					   <input type="hidden" name="order_id_submit" id="order_id_submit" value="{$order_id}" />
					  
					   <input type="image" name="buttom" src="../Public/images/Submit_nl.jpg" onclick="submitAddress(this)" >
					
						</div>
						
					
						
						</div>